Active NPI
Sean Bancroft McLean, LMHC
- Mental Health Counselor
- Saint Cloud, FL
National Provider Identifier
1821827627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH21807
- Practice address
- 1320 Louisiana Ave Ste C
Saint Cloud, FL 34769-4116 - Phone
- (407) 593-0122
- NPI assigned
- Jul 30, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH21807 | FL | Primary |
Addresses
Primary practice location
1320 Louisiana Ave Ste C
Saint Cloud, FL 34769-4116
Mailing address
8266 Via Verona
Orlando, FL 32836-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH24283 | Other | FL | MENTAL HEALTH COUNSELOR LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3680 Avalon Park E Blvd
301 Ellie Mental Health
Orlando, FL 32828-9372
Phone (407) 928-1425
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH21807 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fiveshine Corporation | Current | Accepting new patients |
Locations
3680 E Avalon Park Blvd
Ste 301
Orlando, FL 32828
Phone (321) 351-4925
3680 E Avalon Park Blvd
Orlando, FL 32828
Phone (407) 513-2729
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Orlando, FL
- NPI 1356184121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1821827627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8266 VIA VERONA",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328367700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 LOUISIANA AVE STE C",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347694116",
"telephone_number": "407-593-0122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEAN",
"first_name": "SEAN",
"middle_name": "BANCROFT",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-30",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH21807",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH COUNSELOR LICENSE",
"identifier": "MH24283",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.